Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Fong

Individual provider Family Medicine Physician · NPI 1215314125

Tracy Fong is a Family Practice in Dayton, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

2261 Philadelphia Dr
Dayton, OH 45406
Phone: (937) 734-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A147530 (CA)

Record details

NPI number1215314125
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2015
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021
Mailing address26415 Carl Boyer Dr, Santa Clarita, CA 91350-5824

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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